Individual provider Active NPI

Charletta Dennis, M.D.

  • Psychiatry Physician
  • Saline, MI
National Provider Identifier
1881982973
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301099414 Issued in MI
Practice address
8303 Platt Rd.
Saline, MI 48176
Phone
(734) 295-4428
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301099414 MI Primary

Addresses

Primary practice location

8303 Platt Rd.
Saline, MI 48176

Mailing address

8303 Platt Rd
Saline, MI 48176-9773
Phone (734) 295-4428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, LA, DE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150811004778 MI Practitioner - Psychiatry 6002049640 Reassigns benefits to 5 organizations
I20220702000069 LA Practitioner - Psychiatry 6002049640 Reassigns benefits to 1 organization
I20220907002483 DE Practitioner - Psychiatry 6002049640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westlake Consultation CenterGroup PAC ID 4284057662, 9 clinicians

Practice addresses (Care Compare)

2301 S Huron Pkwy
Suite 2B
Ann Arbor, MI 48104-5133
Phone 73472588021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301099414MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Michigan Office of Financial Management CurrentSince Jul 1, 2015 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Oct 1, 2015 Accepting new patients
Westlake Consultation Center CurrentSince Jan 4, 2021 Accepting new patients
Asnaa CurrentSince Jun 10, 2019 Accepting new patients
Edward W. Sparrow Hospital Association Psychiatry CurrentSince Oct 1, 2015 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Jul 1, 2015 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
State of Michigan Office of Financial Management Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2301 S Huron Pkwy
Ste 2B
Ann Arbor, MI 48104
Phone (734) 677-0710

8594 N Canton Center Rd
Canton, MI 48187
Phone (313) 307-0088

19445 W Warren Ave
Detroit, MI 48228
Phone (313) 307-0088

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

8303 Platt Rd
Saline, MI 48176
Phone (734) 295-4223

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1881982973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 PLATT RD",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769773",
            "telephone_number": "734-295-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 PLATT RD.",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "48176",
            "telephone_number": "734-295-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "CHARLETTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301099414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

Verify at the official NPI Registry.